Permit CITY OF TIGARD MECHANICAL PERMIT
1111. a - COMMUNITY DEVELOPMENT Permit#: MEC2014-00030
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2014
Parcel: 2S111 BCO2700
Jurisdiction: Tigard
Site address: 10380 SW CANTERBURY LN
Project: Miller Subdivision: TIGARDVILLE HEIGHTS Lot: 5
Project Description: Installation of tankless water heater and gas line for water heater and barbecue.
Contractor: BRUNER PLUMBING Owner: MILLER, PAUL&JUDITH LIVING TRU
PO BOX 23985 10380 SW CANTERBURY LN
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503-484-5105 PHONE: 503-684-8513
FAX: 503-624-2173
FEES
Specifics: Description Date Amount
Water Heater 01/27/2014 $23.32
Type of Use: SF Fuel Piping 01/27/2014 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/27/2014 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/27/2014 $52.53
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility i Cation-Center. Tho e rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ect questions to OUNC ; callir1s 503.232.1987 or 1.800.332.2344.
I sued By: f/9 i-(j % Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Km l: t S1: O\l 1
City of Tigard RECEIVED Received t /M 5/ �b PermitNo.: l/Ed1o/ -vc'C)
13125 SW Hall Blvd.,Tigard,OR
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
I I c ,,I;1 Inspection Line: 503.639.4175 JAN 27 2014 Date Ready/By: runs. RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Cm OF TIGARD
TYPE B G ING DIV '" COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
"'DD Mechanical permit fees'are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family El Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
/D3 �(+ c S� &Aiicf,-74)---:,-- `iA-7 Air conditioning (ducts/vents) 46.75
Job site address: l > d� '7 Furnace 100,000 BTU duccs/vents 46.75
City/State/ZIP: 771- ( 7 L 2-y Furnace 100,000+BTU(ducts/vents) 54.91
‘0„7,--- Heat pump 61.06
Suite/bldg./apt.no.: I Project name: /77( /' Duct work 23.32
Cross street/directions to job site: ! 03 I-- Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
, in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater / 23.32 .3?"
DESCRIPTION OF WORK Gas fireplace/insert - 33.39
1--,n7, -,,�1 �a ii Ig.f
Flue vent for water heater or gas
fireplace lace 23.32
6 (- /4 S-- Log lighter stove 23.32
^ e� Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39 .
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
' Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater l
Phone:( ) Fax::( ) Fireplace /y./,--
Range
E-mail: I'
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: 7,J.-L/4,�— t19l(i�� /`I { ��C_ MECHANICAL PERMIT FEES*
Address: f v 0 �` Z 3 ci (- ✓/ Subtotal
/ , co -
City/State/ZIP: '(9 � Minimum permit fee($90.00) yQ.
/- Plan review(25%of permit fee) -
Phone:(So-3) 622y c746-e O Fax:(S5)) &o2. `F ` Z-(7 3 State surcharge(12%ofpermit fee) jc.it)
CCB lie.: r7 ( ' 3 7 TOTAL PERMIT FEE _/00•cr10
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: 7� � g� � Date: � �7 /V
1:\Building%Permita�MFEC_PermitApp_040113.doc 17T(1 roe//COM IWEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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